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Dr. John Joseph Kelly, M.D.

Family Medicine in Tecumseh, MI. Individual provider (NPI-1).

NPI number1295726628
StatusActive
Last updated in NPPESOct 18, 2011

Details

NPI
1295726628
Entity type
Individual (NPI-1)
Name
Dr. John Joseph Kelly
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 3, 2005
Last updated
Oct 18, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine4301057968MIYes

Practice location

115 S Evans St
Tecumseh, MI 49286-1949

Phone 517-423-9300 · Fax 517-423-9400

Mailing address

115 S Evans St
Tecumseh, MI 49286-1949

Phone 517-423-9300 · Fax 517-423-9400

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Tecumseh, MI

All 15 Family Medicine Physician providers in Tecumseh · All 284 providers in Tecumseh

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